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Genital Irritation in Females

Overview, Causes, & Risk Factors

Genital irritation in females is any condition that causes discomfort in the female genitalia. The hymen or outer lips of the vagina and labia, the clitoris, and the vulva are parts of the external female genitalia. The internal female genitalia include the vagina, uterus, fallopian tubes, and ovaries.

What is going on in the body?

The female external genitalia has a rich blood supply. As a result, even minor conditions can cause irritation to the area. Irritation to the female genitalia can range from mild itching or discomfort to severe, intense pain. It may occur suddenly or last a long time.

What are the causes and risks of the condition?

There are many causes of genital irritation, including:

chemical irritation to the lining of the genitals, such as from soaps, bubble bath, or laundry detergent

infection, such as sexually transmitted diseases (STDs), including Neisseria gonorrhoeae\ bacteria. The infection is usually acquired through sexual contact. ',CAPTION,'Gonorrhea in Females');" onmouseout="return nd();">gonorrhea, Chlamydia trachomatis\. Sexually transmitted disease refers to any contagious disease transmitted from one person to another during sexual contact. In women, the infection usually occurs in the urinary tract, pelvis, or cervix. The cervix is the opening between the vagina and the uterus. ',CAPTION,'Chlamydia Infection in Females');" onmouseout="return nd();">chlamydia, HIV, and herpes

other infections, including Candida albicans,\ \Candida tropicalis,\ \Candida glabrata,\ and \Candida parapsilosis.\ ',CAPTION,'Vaginal Yeast Infection');" onmouseout="return nd();">vaginal yeast infections, urinary tract infections, pelvic inflammatory disease, and cervical infections

inflammation of the genitals, such as cervicitis or vaginitis

conditions causing increased vaginal discharge, such as erosion, which is an ulceration of the cervical lining

trauma, especially to the cervix, which may be caused by intercourse, tampon insertion, or speculum insertion during a pelvic exam

tumors, growths, or cancer

certain medications, including hormones, antibiotics, antihistamines

hormone changes or imbalances

autoimmune disorders, which are conditions in which a person's immune system attacks his or her own body for no apparent reason

tight-fitting clothing

inadequate lubrication prior to intercourse

traumatic sexual experiences, including rape

previous surgery, including D&C or hysterectomy

Symptoms & Signs

What are the signs and symptoms of the condition?

When a female complains of irritation in the genitalia, the healthcare provider will ask questions, including:

when the irritation started

whether the irritation is constant

if anything decreases the irritation or makes it worse

if there any other symptoms, such as fever, vomiting, bloating, headache, itching, back pain, or flank pain

if there is any discharge or bleeding from the vagina and, if so, what color and consistency it is

if there is any change in the menstrual cycle, if periods are regular, if there is any chance of pregnancy, or if she has gone through menopause

what medications, drugs, or herbs she takes, if any

what other medical problems she has, if any

Diagnosis & Tests

How is the condition diagnosed?

A thorough medical history and physical exam will be performed as the first step in diagnosing the cause of the genital irritation. The healthcare provider may order tests such as:

a pelvic exam and Pap smear

blood tests

an examination of the abdomen called a laparoscopy

an examination of the vagina and cervix called a colposcopy

x-rays and scans, such as ultrasound of the pelvic organs

cultures of any discharge

biopsy

a D&C, which is a procedure in which the surgeon scrapes away part of the uterine lining

Prevention & Expectations

What can be done to prevent the condition?

Protecting the genitalia from such conditions as trauma, irritating soaps, and exposure to STDs, may decrease the risk of irritation. Wearing properly fitted clothing and cotton-lined underwear may also help. A woman should seek early care for possible infections. Many causes can not be prevented.

What are the long-term effects of the condition?

Genital irritation caused from sensitivity to bubble bath may heal without any long-term effects. A person with a history of chronic irritation may need a low dose corticosteroid ointment for a long time. Some injuries or infections may lead to permanent damage or pain, and may cause infertility.

What are the risks to others?

Genital irritation itself is not contagious and poses no risk to others. But, if the cause is an infection such as an STD, the infection may be contagious.

Treatment & Monitoring

What are the treatments for the condition?

When an injury occurs, an ice pack may be applied to reduce pain and swelling. A warm sitz bath may be soothing. Ointments or special foam may be prescribed to relieve pain, itching, and to treat infection. Antibiotics may also be prescribed for infections.

Those with cancer may need surgery, chemotherapy, or radiation therapy. Surgery may be needed for those who have damage to their genitalia.

What are the side effects of the treatments?

Antibiotics may cause stomach upset, diarrhea, or an allergic reaction. Surgery may pose a risk of bleeding, infection, and allergic reaction to anesthesia.

What happens after treatment for the condition?

A woman may not need further treatment for minor irritation. If she was treated for an STD, sexual partners should be notified.

How is the condition monitored?

Any new or worsening symptoms should be reported to the healthcare provider.

Attribution

Author:Eileen McLaughlin, RN, BSN
Date Written:
Editor:Smith, Elizabeth, BA
Edit Date:10/03/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:07/05/01

Sources

Understanding Your Body, Felicia Stewart, Felicia Guest, Gary Stewart, and Robert Hatcher, 1987

Maternity and Gynecological Care, The Nurse and the Family, Irene Bobak, Margaret Jensen, Marianne Zalar, Mosby Co., 1989

Professional Guide to Signs and Symptoms, Sringhouse, 1997